关节松动术配合针刺治疗颞下颌关节紊乱综合征  

Clinical effi cacy of joint mobilization combined with acupuncture in the treatment of temporomandibular joint disturbance syndrome

作　　者：林桂君[1] 李钰 吴芳鹏 韩晟宇 陈琳非 洪伟 苏钢 LIN Guijun;LI Yu;WU Fangpeng;HAN Shengyu;CHEN Linfei;HONG Wei;SU Gang(Department of Rehabilitation,Chengdu Wenjiang District People's Hospital,Chengdu 611130,China;Department of Radiology,Chengdu Wenjiang District People's Hospital,Chengdu 611130,China;Department of Emergency Medicine,Chengdu Wenjiang District People's Hospital,Chengdu 611130,China;Department of Stomatology,Chengdu Wenjiang District People's Hospital,Chengdu 611130,China)

机构地区：[1]四川省成都市温江区人民医院康复科,成都611130 [2]四川省成都市温江区人民医院放射科,成都611130 [3]四川省成都市温江区人民医院急诊医学科,成都611130 [4]四川省成都市温江区人民医院口腔科,成都611130

出　　处：《长春中医药大学学报》2024年第8期892-896,共5页Journal of Changchun University of Chinese Medicine

基　　金：四川省卫生健康委员会科研课题(19PJ184)。

摘　　要：目的探讨关节松动术配合针刺治疗颞下颌关节紊乱综合征(TMJDS)临床疗效。方法选择颞下颌关节紊乱综合征患者144例,按照随机数表法分成观察组与对照组。对照组给予单纯针刺治疗,观察组在针刺治疗基础上配合关节松动术治疗4周。比较2组口腔健康影响程度量表(OHIP-14)评分、国际常用视觉模拟评分量表(VAS)评分、最大张口度、中文版颞下颌功能受损评分(MFIQ)及Fricton颞下颌关节紊乱指数,比较2组临床疗效和安全性。结果2组治疗后OHIP-14评分,VAS评分,MFIQ评分,功能障碍指数(DI)、肌肉触压痛指数(PI)、颞下颌关节指数(CMI)评分均降低(P<0.05),且观察组低于对照组(P<0.05);2组治疗后最大张口度均升高(P<0.05),且观察组高于对照组(P<0.05);观察组总有效率高于对照组(P<0.05);2组均未发生与治疗相关的不良事件。结论关节松动术配合针刺能够改善颞下颌关节紊乱综合征患者疼痛和颞下颌功能活动,提高最大张口度,疗效明显。Objective To explore the clinical efficacy of joint mobilization combined with acupuncture in the treatment of temporomandibular joint disturbance syndrome(TMJDS).Methods 144 patients with TMJDS were selected and divided into the observation group and the control group according to random number table method.The control group received simple acupuncture treatment,while the observation group received joint mobilization for 4 weeks on the basis of the treatment of acupuncture treatment.Oral Health Impact Profi le(OHIP-14)scores,international commonly used Visual Analogue Scale(VAS)scores,maximum mouth opening degree,Chinese version of Mandibular Function Impairment Questionnaire(MFIQ)scores,and Fricton temporomandibular disorder index in two groups were compared.The clinical effi cacy and safety of two groups were compared.Results After treatment,OHIP-14 score,VAS score,MFIQ score,dysfunction index(DI),palpation index(PI),and Craniomandibular Index(CMI)of both groups decreased(P<0.05),and the observation group was lower than the control group(P<0.05).After treatment,the maximum mouth opening degree of both groups increased(P<0.05),and the observation group was higher than the control group(P<0.05);The total effective rate of the observation group was higher than that of the control group(P<0.05);Both groups did not experience any treatment-related adverse events.Conclusion Joint mobilization combined with acupuncture can improve pain and temporomandibular functional activity in patients with TMJDS,and increase maximum mouth opening degree.This therapy has significant therapeutic effects.

关 键 词：关节松动术 针刺 颞下颌关节紊乱综合征 最大张口度 颞下颌功能活动 

分 类 号：R782.6[医药卫生—口腔医学]